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Probable anxiety and components of psychological resilience amid COVID-19: A population-based study

BACKGROUND: This study examined the associations between components of psychological resilience and mental health at different levels of exposure to COVID-19 stressors. METHODS: A population-representative sample of 4,021 respondents were recruited and assessed between February 25th and March 19th,...

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Autores principales: Hou, Wai Kai, Tong, Horace, Liang, Li, Li, Tsz Wai, Liu, Huinan, Ben-Ezra, Menachem, Goodwin, Robin, Lee, Tatia Mei-chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529263/
https://www.ncbi.nlm.nih.gov/pubmed/33445081
http://dx.doi.org/10.1016/j.jad.2020.12.127
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author Hou, Wai Kai
Tong, Horace
Liang, Li
Li, Tsz Wai
Liu, Huinan
Ben-Ezra, Menachem
Goodwin, Robin
Lee, Tatia Mei-chun
author_facet Hou, Wai Kai
Tong, Horace
Liang, Li
Li, Tsz Wai
Liu, Huinan
Ben-Ezra, Menachem
Goodwin, Robin
Lee, Tatia Mei-chun
author_sort Hou, Wai Kai
collection PubMed
description BACKGROUND: This study examined the associations between components of psychological resilience and mental health at different levels of exposure to COVID-19 stressors. METHODS: A population-representative sample of 4,021 respondents were recruited and assessed between February 25th and March 19th, 2020. Respondents reported current anxiety symptoms (7-item Generalized Anxiety Disorder scale [GAD-7]), cognitive components (perceived ability to adapt to change, tendency to bounce back after adversities) and behavioral components (regularity of primary and secondary daily routines) of resilience, worry about COVID-19 infection, and sociodemographics. RESULTS: Logistic regression revealed that cognitive and behavioral components of resilience were not correlated with probable anxiety (GAD-7≥10) among those reporting no worry. Among respondents who were worried, all resilient components were inversely associated with probable anxiety. Specifically, propensity to bounce back and regular primary routines were more strongly related to lower odds of probable anxiety among those reporting lower levels of worry. LIMITATIONS: The cross-sectional design limits causal inference. Second, other resilient components and some key daily routines that could be related to better mental health were not assessed. Third, generalizability of the findings to other similar major cities is uncertain because cases and deaths due to COVID-19 in Hong Kong have been comparatively lower. CONCLUSIONS: To foster mental health, cultivation of confidence in one's ability to adapt to change and a propensity to bounce back from hardship should be coupled with sustainment of regular daily routines. Such assessment and intervention protocols could be more relevant to those who suffer heightened levels of exposure to COVID-19 stressors.
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spelling pubmed-85292632021-10-21 Probable anxiety and components of psychological resilience amid COVID-19: A population-based study Hou, Wai Kai Tong, Horace Liang, Li Li, Tsz Wai Liu, Huinan Ben-Ezra, Menachem Goodwin, Robin Lee, Tatia Mei-chun J Affect Disord Research Paper BACKGROUND: This study examined the associations between components of psychological resilience and mental health at different levels of exposure to COVID-19 stressors. METHODS: A population-representative sample of 4,021 respondents were recruited and assessed between February 25th and March 19th, 2020. Respondents reported current anxiety symptoms (7-item Generalized Anxiety Disorder scale [GAD-7]), cognitive components (perceived ability to adapt to change, tendency to bounce back after adversities) and behavioral components (regularity of primary and secondary daily routines) of resilience, worry about COVID-19 infection, and sociodemographics. RESULTS: Logistic regression revealed that cognitive and behavioral components of resilience were not correlated with probable anxiety (GAD-7≥10) among those reporting no worry. Among respondents who were worried, all resilient components were inversely associated with probable anxiety. Specifically, propensity to bounce back and regular primary routines were more strongly related to lower odds of probable anxiety among those reporting lower levels of worry. LIMITATIONS: The cross-sectional design limits causal inference. Second, other resilient components and some key daily routines that could be related to better mental health were not assessed. Third, generalizability of the findings to other similar major cities is uncertain because cases and deaths due to COVID-19 in Hong Kong have been comparatively lower. CONCLUSIONS: To foster mental health, cultivation of confidence in one's ability to adapt to change and a propensity to bounce back from hardship should be coupled with sustainment of regular daily routines. Such assessment and intervention protocols could be more relevant to those who suffer heightened levels of exposure to COVID-19 stressors. Elsevier B.V. 2021-03-01 2020-12-28 /pmc/articles/PMC8529263/ /pubmed/33445081 http://dx.doi.org/10.1016/j.jad.2020.12.127 Text en © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Research Paper
Hou, Wai Kai
Tong, Horace
Liang, Li
Li, Tsz Wai
Liu, Huinan
Ben-Ezra, Menachem
Goodwin, Robin
Lee, Tatia Mei-chun
Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title_full Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title_fullStr Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title_full_unstemmed Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title_short Probable anxiety and components of psychological resilience amid COVID-19: A population-based study
title_sort probable anxiety and components of psychological resilience amid covid-19: a population-based study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529263/
https://www.ncbi.nlm.nih.gov/pubmed/33445081
http://dx.doi.org/10.1016/j.jad.2020.12.127
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